05D2123526 CLIA NUMBER - TRANQUILITY CARE, INC.

Laboratory Demographics

  • CLIA Code: 05D2123526
  • Facility Name: TRANQUILITY CARE, INC.
  • Facility Address: 1812 CRATER ST
    SIMI VALLEY, CA
    ZIP 93063
  • Facility Phone: 805 422-8485
  • Facility Type: Other - CLHF
  • Facility Type: Waiver
  • Lab Director: OLEG LIAKHOVETSKI, MD
  • NPI Number: 1013384411
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2123526
LAB Type Other - CLHF
Facility Name TRANQUILITY CARE, INC.
Street 1812 CRATER ST
City SIMI VALLEY
State CA
ZIP 93063
Phone 805 422-8485
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Other - CLHF
Lab Director OLEG LIAKHOVETSKI, MD

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This page was last updated on: 9/29/2025